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SillyTowns Fax Order Form


Name: ___________________________________ Company: _________________________________________

Address: ____________________________________________________________________________________

City, State, Zip ________________________, ________________, ________ Country: _____________________

Daytime Phone: ___________________________ Email: _____________________________________________

Credit Card Type (Visa, MC, Discover, and AMEX), CC Number, Exp. Date, and CVV2 (3 or 4 digit #, required)

Type: __________ CC Number: __________________________________ Exp. Date: __________CVV2:_______

Name on card: _______________________________________________________________________________

Billing Address (if different from above): ___________________________________________________________

City, State, Zip ________________________, ________________, ________ Country: _____________________

Color in the box on the left next to the products you would like to order and enter the quantity you'd like at the end
of the line for each product you picked. Select a shipping option in the lower left hand corner.
For real-time shipping calculations, product pricing & descriptions, please visit our web site (www.SillyTown.com).

Launchers

Launching Kits
(includes launcher, 200 balloons, and filler)
90 Yard Launcher

90 Yard Launcher Kit

150 Yard Launcher

150 Yard Launcher Kit

250 Yard Launcher

250 Yard Launcher Kit



Launching Supplies
(visit the
online store
for more info)
Multi-Launcher Packs

WBalloons (200 ct.) with filler

Launcher Family Pack (90,150,250)

Water Balloons (144 ct.)

250 Yard Launcher 10 pack

Wballoon Filler (for hose)

250 Yard Lake Pack

Water Balloons (100 ct. w/pump)

250 Yard Double Pack

WBalloons (200 ct.) with filler (10 pk.)

250 Yard War Zone Pack

Water Balloons (144 ct.) (10 pk.)

Mini Launcher Kit 3 games in 1




Shipping Options
(pick one)
US Priority Mail (2-3 days)
FedEx Ground (4-5 days)
FedEx Express 3-Day Air
FedEx Second Day Air
FedEx Next Day Air
Comments:

SillyTowns Fax Order Form
Please complete the information below, print this form, and fax to:
1-800-497-4294. Please print legibly if you do not type in your
information! You will receive a confirmation/receipt of your order via
email. Thank you.